Short-Term Effects of Combined Manual Therapy to the Cervical and Thoracic Spine
Short-Term Combined Effects of Thoracic Spine Thrust Manipulation and Cervical Spine Non-Thrust Manipulation in Patients With Mechanical Neck Pain: A RCT
1 other identifier
interventional
64
1 country
2
Brief Summary
Neck pain continues to be a prevalent condition in our society. Manual therapy (hands on techniques for the treatment of neck pain is an intervention commonly implemented in clinical practice. Recently researchers and clinicians have implemented manual therapy techniques to the thoracic spine (midback) to treat patients with neck pain. To date no studies have examined the short-term combined effects of thoracic spine manual therapy and cervical spine manual therapy in the treatment of patients with mechanical neck pain. The purpose this study is to assess the combined effects of thoracic spine thrust manipulation with cervical spine non-thrust manipulation in patients with neck pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2009
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2009
CompletedFirst Submitted
Initial submission to the registry
March 17, 2011
CompletedFirst Posted
Study publicly available on registry
March 18, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2012
CompletedApril 7, 2015
April 1, 2015
2.6 years
March 17, 2011
April 6, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Neck Disability Index (NDI)
Neck Disability Index (NDI) is a disease-specific outcome measure specifically used in patients with neck pain. The NDI has been shown to be reliable and valid in individuals with mechanical neck pain.
Short-term outcome 1 week
Secondary Outcomes (1)
Global Rating of Change (GROC)
Short-term outcome 1 week
Study Arms (1)
Manipulation
EXPERIMENTALThe experimental group is receiving thoracic spine thrust manipulation and cervical spine non-thrust manipulation.
Interventions
Thrust manipulation is a type of manual therapy that clinicians apply using a high-velocity, low-amplitude thrust directed at a joint(s)
Eligibility Criteria
You may qualify if:
- Neck pain of less than 3 months
- No symptoms below the shoulder
- Baseline Neck Disability Index score of 10 or greater
You may not qualify if:
- Red flags noted in the patient's Medical Screening Questionnaire (i.e. tumor, fracture, metabolic disease, rheumatoid arthritis, osteoporosis, prolonged use of steroid, etc)
- History of whiplash injury within the past two months
- Diagnosis of cervical spinal stenosis
- Uni-lateral or bi-lateral upper extremity radicular symptoms
- Evidence of central nervous system involvement
- Two or more positive neurological signs consistent with nerve root involvement: myotomal muscle weakness, dermatomal sensory loss, diminished or absent reflexes
- Prior surgery to the neck or thoracic spine
- Pending legal action regarding their neck pain, or patients with no fault or workers compensation claims
- Insufficient English language skills to complete the questionnaires
- Inability to comply with treatment and follow-up schedule
- Women who may be pregnant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Long Island University
Brooklyn, New York, 11201, United States
Masefield Cavallaro Physical Therapy
Brooklyn, New York, 11228, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Michael Masaracchio, PT, DPT, PhD(c), OCS, SCS
Masefield Cavallaro Therapy
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Staff Physical Therapist
Study Record Dates
First Submitted
March 17, 2011
First Posted
March 18, 2011
Study Start
November 1, 2009
Primary Completion
June 1, 2012
Study Completion
June 1, 2012
Last Updated
April 7, 2015
Record last verified: 2015-04